MC-16-2069BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
CANCELLED
F-IBUILDING ❑ ELECTRIC ❑ ROOFING
�F,1BnC 20/1 `1 r,
Master Permit No. t -1 l�I G -y(9
Sub Permit No
REVISION ❑ EXTENSION RENEWAL
❑PLUMBING tECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
//CONTRACTOR DRAWINGS
JOB ADDRESS: � � C� � � 7
_7_7/ 7'
Folio/Parcel#: ��•- - % 3 D Lb -Os the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
-�i � G
OWNER: Name (Fee Simple Titleholder):_C vas �%^��� Phone#: -31 i�e 1171�1
City:t v�{�� i S v i 0 V4 4?-.,.l State: Zip: 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
,Q
Address: i0 2 /b EV C, 1' a
City:
C
Qualifier Name: �� �U \ V �h t"l 1''(,�� 9 Phone
i
State Certification or Registration M �, C�t ate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
-216_- 3If' I
Zip:
-9a9_ ZI �-! 713'�1
Address: City: State: Zip:
Value of Work for this Permit: $ i 6 �O '"ice' Square/Linear Footage of Work:
Type of Work: ❑ Addition `❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:. ^ 1
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ J ' O a Notary $
Technology Fee $ L-1 1 Training/Education Fee $ d ( Double Fee $
Structural Reviews $ Bond $ f C�
TOTAL FEE NOW DUE $ 109
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, th¢
inspection will not be approved and a reinspection fee will be charged.
Signat rO Signature �/JIV&A,
NE rAC� NT CONTRACTOR
The foregoing instrument el�nowledged �n befor me this The foregoing instrument ►was acknowledged before me this day of 20 by day of U 20 - by
who is erson now o � U/ ( C) Sho�Af 0a y knowwrn to
me or who has produced as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLI
Sign: u 1 Sign:—
MR m
Print: Print:��+✓�A
• = DlPlil�t Juy 1!>b ZOt! �``4�"'v�`ti•".�,.,..°<M,�,,,,-."�'"�
Seal: ".: MfWINW61AilY.(X1M Seal: :,,;;kic State of Florida
r,,nisaion FF 156750
018
**►**K##*****************e�sst+t�k.+l7pykaK�R*l#, ***
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax:(305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC
This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must
be on its own data sheet. Multiple units on single sheets are not acceptable. �rT
Job Address (where the work is being done): (A J 1
City: Miami Shores Village County: Miami Dade Zip Code:
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS
AHRI DATA SHEET REQUIRED
Change disconnecting means: YES ❑ NO 4 ARHI Sheet Attached: YES1K NO ❑ Contract Attached: YES
UNIT BEJNG
REPLACED
DATA
NEW UNIT
IDO ot
NAC4, tj
MANUFACTURER
3 6
AHU or PKG. UNIT MODEL #
L
COND. UNIT MODEL #
KW HEAT
NOM TONS
AHU
AHU
CU
CU
PKG
PKG
1) M.C.A
AHU
SjZ PKG
2) M.O.P
AHU
CU PKG
AHU
CU
PKG
3) VOLTS
AHU
CU PKG
PKG UNIT /
/
PKG UNIT /
EER/SEER
_
YES
O
REPLACING DUCTS
YES
NO
REPLACING THERMOSTAT
S
NO
YES
4f717>
NEW 4"CONCRETE SLAB
YES
YES
NO
NEW ROOF STAND
YES
N
YES
NEW RETURN PLENUM BOX
YES
1. Minimum Circuit Ampacity (Wire Size):
tSA
)o o 4
2. Maximum Overcurrent Protection (Fuse/Breaker Size): :1) J
3. Voltage of Circuit (208/240/480): 2-y S /2 Yd
4. Size Disconnecting Means: AP VC 92 U
Contractor's Company Name: S 4 1 Y W,1 UPh- e:c ��� �% 677.T)
State Certificate or gistralion No. % ificate of Competency)�/
o.
Signature V�F4/tAwym Date: /,1',?-d
(Qua ier's signature)
(Revised02/24/2014)
Rams Air Conditioning, Inc.
Licensed and Insured
830 Euclid Ave # 14
Miami Beach, Florida 33139
Phone: (305) 216-7351
Info@Ramsair.com
CAC1813270
July 12, 2016
Luis Reynoso
325 NE 104 ST Miami Shores FL 33138
Re: 1 new air conditioning Trane 3 ton
We are pleased to submit this proposal to render services in connection with the referenced
project.
Project:
Proposes to provide necessary equipment materials labor and supervision to complete the
following scope of work
Scope of work
As plan indicated
• 3 ton new air conditioning Trane 17 Seer
• New vibration insulations pad
• New condensers unit connect to existing electrical wiring
• New condensing unit connect to existing refrigeration lines
• New liquid lines
• New air handlers installed as same location
• New air handler unit connect to existing wiring
• New thermostat
• New condensate emergency over flow
• New 5 kw heater
• New main duct trunk
Clarifications:
1. Sanitary facilities by OSHA Regulations.
2. Proposal assumes that Owner will provide staging area for the duration at property
entrance.
3. Proposal assumes that owner will provide water and electric power within the
property throughout the duration of construction.
4. Rams air conditioning, Inc. is not responsible for unforeseen conditions.
5. Rams air shall not be held responsible for delays due to the Owner's selection of the
materials finishes.
6. The proposal is valid for 30 days.
Exclusions:
Any and all roofing, building, electrical
All Permitting city and county fees
MOT, WASD, Concurrency and Impact Fees
Test and balances
Permit at the city
Unforeseen conditions of existing
Dewatering0
Architectural, structural, electrical, plumbing, civil, landscaping drawings and or plans
Engineering and testing agencies and reports for piles, grout tests, concrete tests
Asbestos survey and/or removal of hazardous materials
Temporary water and power for construction
Utility capping or disconnect
Concrete cutting
Concrete pouring
New or relocation of sprinkler and/or heads
Client Responsibilities
Provide a utility space for workers at jobsite.
Permit at the city
Payment of all fees, permits, and city regulated fees requirements as required.
Accessibility to any part of the building for trucks.
Compensation & Descriptions:
?sna - 13 se
3�Y 50, including initial payment of $ / and $ 1 When the units are in the house and
finish progress payments shall be paid in full upon completion of the scope of work.
Payments not received within terms described above shall accrue interest at 1.75% per
month. (Annual percentage rate is 21%). A 3.9%transaction fee will be charged to any
balance amount paid with a credit card plus 7%tax.
All expenses incurred as a result of late payment or nonpayment, including lien fees, reasonable
attorney's fee and cost shall be paid by customer.
Facsimile of this proposal shall be deemed a valid counterpart of the original.
We will proceed with rendering the scope of work described under the Scope of Work
immediately upon receipt of the Owner of a signed copy of this proposal and the initial
payment stipulated herein.
Thank you for the opportunity to present this proposal, we look forward to working with you on
this project.
Respectfully submitted,
Agreed,pnd Accepted:
Ram;eAir`Irjdnditioning, Inc.